Revenue Integrity Nurse Auditor - Remote

Munson Healthcare is northern Michigan’s largest and leading health care system. Based in Traverse City, Mich., our team of medical experts, nine award-winning community hospitals, and related organizations serve people in 30 counties. Most of the region's 540,000 residents can receive comprehensive quality care in or near their local community with access to sophisticated diagnostic technology such as 3D tomography, advanced cancer and heart treatments, and the latest robotic technology, stereotactic radiosurgery, and non-invasive surgical procedures. Munson Healthcare By the Numbers: 8 hospitals 694 licensed acute care beds 212 licensed long-term care beds 7,500 employees 1,000 physicians 63 specialties 540,000 residents We cover 11,177 square miles – about the size of Vermont and Delaware combined. Patients in northern Michigan also benefit from Munson Healthcare’s collaborative partnerships with major health care systems, including Mayo Clinic, Michigan Medicine, Spectrum Health, and Mary Free Bed Rehabilitation Hospital.

The Revenue Integrity Nurse Auditor is a licensed Registered Nurse who collaborates with administrative, clinical, and revenue cycle teams to ensure accurate clinical documentation and compliant coding/charging practices. This role plays a critical part in optimizing reimbursement, reducing denials, and supporting Munson Healthcare’s commitment to financial integrity and patient-centered care.

Audit & Review: Perform retrospective charge reconciliation/charge correction of inpatient and outpatient records to ensure documentation supports accurate coding and billing. Collaborate with coding and clinical teams to clarify documentation and ensure accurate DRG and ICD-10 assignment. Identify and address gaps in charge capture. Responsible for staying current with billing edits, coding changes, and Federal regulations/requirements as applicable dependent on hospital designation across the healthcare system. Reports documentation deficiencies, billing errors, and trends to the appropriate leadership for any needed resolution. Education & Collaboration: Uses effective customer service/interpersonal skills. Educate providers and staff on documentation standards, regulatory changes, and revenue integrity best practices. Compliance & Reporting: Contribute to compliance readiness and internal audit initiatives. Other Responsibilities: Supports the Mission, Vision and Values of Munson Healthcare Embraces and supports the Performance Improvement philosophy of Munson Healthcare. Promotes personal and patient safety. Support denial management efforts by providing clinical insight and documentation for appeals. Creating and maintaining standard work documents. Performs other duties and responsibilities as assigned.